Journal of Korean Clinical Nursing Research (임상간호연구)
- Volume 14 Issue 2
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- Pages.71-81
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- 2008
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
A Model for Nursing Workforce in Hemodialysis Room Using System Dynamics Approach
시스템다이내믹스를 이용한 혈액투석실 간호인력 산정 연구
- Kim, Moon Sil (Division of Nursing Science, Ewha Womans University) ;
- Kwon, Kyoung Ja (Suwon Science College) ;
- Choi, Sung Hee (Department of Nursing, Ewha Womans University Mokdong Hospital)
- Received : 2008.05.30
- Accepted : 2008.07.09
- Published : 2008.08.31
Abstract
Purpose: The objective of this study was to determine the cause-effect and dynamic change mechanism among factors that affect calculation of the nursing workforce in the hemodialysis room and to establish a system dynamics model and create a strategic simulation to be used to increase efficiency in the clinical situation. Method: The system dynamics approach was adapted to build a simulation model for calculating the nursing workforce. The model was built using Vensim 5.0b DSS. Results: The results were as follows for Scenario A: The highest level of nursing service quality, patient satisfaction, and nurse satisfaction, and the lowest level of turnover intention is maintained when the ratio of patients to nurse is 3.5:1 compared to all other situations. Scenario B: At the ratio of patients to nurse 4.0:1 nursing service quality, patient satisfaction, and nurse satisfaction dropped slightly, and turnover intention also rose slightly. However with time the results showed improvement. Conclusion: In terms of economic efficiency in the hemodialysis room, the ratio of patients to nurse for the best nursing workforce should not exceed 4.0:1.